| NPI | 1699089268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13639) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 274346-134) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2015-03-13 |